Important Notice on MAPD HMO Plan Termination Effective March 1, 2020

Effective February 29, 2020, Quality Health Plans of New York (QHPNY) will terminate its contract with the Centers for Medicare and Medicaid Services (CMS).

Quality Health Plans of New York won’t offer Medicare plans after February 29, 2020. This means coverage through Quality Health Plans of New York will end February 29, 2020.

It has been our honor to serve you. Quality of Health Plans of New York would like to thank you for the opportunity and sincerely apologizes for any inconvenience this may cause.

For more information members should refer to the notices recently mailed or call Customer Service at 1 (877) 233-7058 (TTY/TDD: 711). Until March 31st, you can call us 7 days a week from 8:00 a.m. to 8:00 p.m. and from April 1 to April 30th, you can call us Monday through Friday from 8:00 a.m. to 8:00 p.m.

You may also call 1-800-MEDICARE (1-800-633-4227). Tell them your plan isn’t going to be offered after February 2020 and you want help choosing a new plan. This toll-free help line is available 24 hours a day, 7 days a week. TTY users should call 1-877-486-2048.


Home Office

2805 Veterans Memorial Highway, Suite 17, Ronkonkoma, NY 11779

Customer Service: 1 877-233-7058
TTY/TDD: 711
Oct 1 – Feb 14: Mon – Sun, 8:00 a.m. – 8:00 p.m. ET
Feb 15 – Sept 30: Mon – Fri, 8:00 a.m. – 8:00 p.m. ET
– verify member eligibility
– plan benefits Monday – Friday, 8:00 a.m. – 8:00 p.m. ET

Compliance Department
Compliance Hotline- 1-877-303-1768
Anonymous and Confidential
Email: compliancemail@qualityhealthplansny.com

Utilization Management 1-877-233-7058
Fax 1-877-817-1008
– referrals
– pre-cert
– case management Monday – Friday, 8:00 a.m. – 5:00 p.m. ET
24/7 emergency hotline

Provider Relations & Network Services 1-877-233-7058
Fax 1-877-612-8025
– credentialing
– contracting Monday – Friday, 8:00 a.m. – 5:00 p.m. ET

Prescription Drug Authorizations:
QHPNY Pharmacy Department 1-877-233-7058
Fax 1-877-817-0842
Monday thru Friday 8:00am – 5:00pm
Authorizations are available 24 hours a day, 7 days a week

Pharmacy Help Desk / Prescription Drug Authorizations:
CastiaRx 1-888-303-6011
TTY 1-866-706-4757
Fax 1-866-632-7946
24 hours a day, 7 days a week

Anonymous Compliance & Fraud,
Waste and Abuse Hotline: 1-877-303-1768

Claims Address
Quality Health Plans of New York Claims
P.O. Box 340397
Tampa, FL 33694-0397

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